So ɛtɔ mmere bi a wote nka sɛ woabrɛ na woayɛ mmerɛw wɔ ɔkwan soronko so a ntease biara nnim? So w'akɔnnɔ a ɛyera , wo mu duru so tew , anaasɛ w'adwene tu fra ? Ebia woahyɛ no nsow nso sɛ wo honam ani, titiriw wo nsateaa ne wo nkotodwe , adan bruu kakra. Mma w’ani ngu saa nneɛma yi so kɛkɛ. Wobetumi ayɛ biribi a ɛho hia a ɛrekɔ so wɔ wo nipadua mu ho sɛnkyerɛnne. Ɛnnɛ yɛreka tebea a ɛte saa biako ho asɛm, Addison Yare .
Sɛ yɛbɛka no tiawa a, dɛn ne Addison Yare no?
Fa yɛn nipadua no sɛ adwumakuw kɛse. Saa adwumakuw yi wɔ “nnuru abɔfo ” kuw bi a wɔsesa nkrasɛm na ama dwumadi ahorow akɔ so yiye. Yɛfrɛ saa hormone ahorow yi .
Yɛn asaabo atifi te sɛ kyɛw nketewa abien no, ntini nketenkete abien wɔ hɔ. Eyinom ne nea yɛfrɛ no adrenal glands . Saa ntini ahorow yi yɛ nkwaadɔm abien a ɛho hia sen biara a ɛho hia wɔ yɛn asetra mu. Wɔn ne cortisol ne aldosterone .
Addison yare no yɛ tebea a ɛma adrenal glands no sɛe esiane biribi nti na entumi nyɛ saa hormone ahorow yi dodow a wɔhwehwɛ. Eyi yɛ tebea a ɛntaa nsi koraa. Nanso ɛho hia paa sɛ yehu eyi.
Dɛn ne hormone abien no dwumadi?
- Cortisol: Eyi te sɛ yɛn nipadua no "adwennwen sohwɛfo." Saa hormone yi siesie nipadua no ma etumi di yare, asiane, ne adwennwen ho dwuma. Ɛboa nso ma wɔhwɛ mogya mmoroso, asikre dodow a ɛwɔ mogya mu, ne protein, carbohydrates, ne srade a wɔde di dwuma so.
- Aldosterone: Saa hormone yi ne yɛn nipadua "nkyene ne nsu ho nhyehyɛe." Ɛboa yɛn asaabo ma nkyene (sodium) ne potassium dodow kari pɛ wɔ nipadua no mu. Ɛsan nso di yɛn mogya mmoroso so.
Sɛ saa hormone ahorow yi sua a, nipadua no nyinaa dwumadi sɛe. Saa na ɛba wɔ Addison yare no mu.
Dɛn ne Addison yare no ho sɛnkyerɛnne?
Addison yare no ho sɛnkyerɛnne no ba nkakrankakra, nkakrankakra. Enti ɛtɔ mmere bi a ebetumi agye bere kakra ansa na wɔahu sɛ ɛyɛ yare. Saa sɛnkyerɛnne ahorow yi te sɛ nyarewa afoforo a ɛtaa ba no de, enti wobetumi ante ase yiye.
Hwɛ pon a ɛwɔ ase hɔ no na woahu nneɛma atitiriw a wubehu.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Ɔbrɛ a enni sabea ne ntini mu mmerɛwyɛ | Ɔbrɛ a wobɛte nka sɛ wunni nkwa da mũ nyinaa, ɛmfa ho sɛnea wubegye w’ahome no. |
| Wora a ɛyɛ bruu/yɛ tuntum (Hyperpigmentation) . | Wora a ɛyɛ tumm wɔ mmeae te sɛ nsateaa, nkotodwe, nkotodwe, anofafa, ne anom. Akuru dedaw mpo tumi dan tuntum. |
| Aduan ho akɔnnɔ a ɛyera na ne mu duru so tew | Aduan ho akɔnnɔ a ɛyera ne nea efi mu ba a ɛma obi mu duru so tew. |
| Mogya mmoroso a ɛba fam (Hypotension) . | Sɛ wote nka sɛ wo ho ayɛ wo yaw, titiriw bere a wugyina hɔ fi baabi a wote a, ebetumi aba sɛ efi mogya mmoroso a ɛba fam. Ebia wobɛhwere w’adwene mpo. |
| Nkyene ho akɔnnɔ a ɛboro so | Bere a nipadua no mu nkyene so tew no, ɔpɛ a ɛkɔ so bere nyinaa sɛ wobedi nnuan a nkyene wom ne nneɛma te sɛ akutu. |
| Nneɛma afoforo a ɛwom | Akisikuru, ɔfe, yafunu mu yaw, ahurututu, asikre a ɛba mogya mu (hypoglycemia), adwene mu a ɛyɛ basaa, ne brayɛ a ɛnkɔ so daa wɔ mmea mu. |
Dɛn na ɛde Addison yare no ba?
Nea ɛde Addison yare no ba titiriw ne yare a nipadua no tumi ko tia nyarewa.Sɛ yɛbɛka no tiawa a, eyi ne bere a yɛn nipadua no ankasa nipadua mu ahoɔden a ɛko tia nyarewa no kɔ so yɛ basabasa na ɛtow hyɛ yɛn ankasa adrenal ntini ahorow so na ɛsɛe no. Eyi na ɛde Addison ayarefo 70% ba.
Nea ɛka ho no, ebia ntease afoforo nso wɔ hɔ.
- Nyarewa: Nyarewa a ɛtra hɔ kyɛ te sɛ nsamanwaw ne HIV betumi asɛe adrenal glands.
- Kokoram: Kokoram nkwammoaa a wɔayɛ wɔ mmeae afoforo no trɛw kɔ adrenal glands no mu.
- Mogya a ɛtɔ wɔ nipadua no mu: Mogya a ɛtɔ wɔ adrenal glands no mu.
- Awosu mu nneɛma a ɛde ba: Asiane nso wɔ hɔ sɛ obi benya saa yare yi esiane awosu mu tebea horow bi nti.
- Oprehyɛn: Sɛ wɔayɛ wo oprehyɛn de ayi adrenal glands no afi hɔ a.
Wobɛyɛ dɛn ahu eyi, Oduruyɛfo?
Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ w’abusua oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi. Ɔbɛhwehwɛ wo mu na sɛ ɛho hia a, ɔde wo bɛkɔ oduruyɛfo titiriw nkyɛn.
Wɔde mogya mu nhwehwɛmu pii di dwuma titiriw de hu yare no.
1. Mogya mu nhwehwɛmu titiriw: Eyi bɛhwɛ sɛ sodium (nkyene) dodow a ɛwɔ wo mogya mu no sua anaasɛ potassium dodow a ɛwɔ wo mogya mu no dɔɔso anaa.
2. ACTH Stimulation Test: Eyi ne sɔhwɛ a ɛho hia sen biara. Wɔ eyi mu no, wɔde hormone bi a wɔfrɛ no ACTH a w’amemene no gyae no kakraa bi ma sɛ aduru a wɔde twitwiw wo mu. Wɔ obi a ɔwɔ apɔwmuden mu no, saa aduru yi ma adrenal glands no yɛ cortisol hormone pii. Nanso, wɔ obi a ɔwɔ Addison yare no mu no, ntini no ntumi nyɛ ho hwee saa kwan yi so. Wɔnam mogya a wɔfa na wɔsusuw cortisol dodow yi so si yare no so dua.
Bio nso, wobetumi ayɛ CT scan de ahwɛ sɛ ɔyare mmoawa, kokoram, anaa mogya retu wɔ adrenal glands no mu anaa.
Nea ɛyɛ hu sen biara: Addisonian Crisis
Eyi ne Addison yare no fã a asiane wom sen biara na ɛba mpofirim. Mpɛn pii no, sɛnkyerɛnne ahorow no ba nkakrankakra, enti nnipa binom mpo nnim sɛ wɔwɔ yare no. Saa bere yi de, sɛ nipadua no wɔ adwennwen pii mu, te sɛ yare foforo, oprehyɛn, anaa akwanhyia bi a, yare no ho sɛnkyerɛnne no betumi ayɛ kɛse mpofirim. Wɔfrɛ eyi sɛ Addisonfo ɔhaw .
Eyi yɛ aduruyɛ mu asɛm a egye ntɛmpɛ na sɛ wɔansa a, ebetumi ama obi awu.
Addisonfo ɔhaw bi ho sɛnkyerɛnne:
- Ɛyaw a emu yɛ den mpofirim wɔ akyi, yafunu, anaa nan mu.
- Ɔfe ne dwensɔtwaa a emu yɛ den, na ɛde nsu a ɛho tew ba.
- Ahodwiriw a mogya mmoroso a ɛba fam yiye de ba.
- Nhumu a wɔhwere.
- Atiridiinini a ɛba mpofirim ne mmerɛwyɛ a emu yɛ den.
Sɛ saa sɛnkyerɛnne ahorow yi da adi a, .Ɛsɛ sɛ wɔde ɔyarefo no kɔ ayaresabea a ɛbɛn no no Emergency Treatment Unit (ETU) ntɛm ara.
Ayaresa ne asetra a ɛfata
Ebia wusuro sɛ wobɛte Addison yare no ho asɛm, nanso asɛmpa no ne sɛ ayaresa a etu mpɔn yiye wɔ hɔ a wɔde sa yare no.
Nkwammoaa ahorow abien a enni nipadua no mu na ɛde yare yi ba. Enti ayaresa no ne sɛ wɔde saa hormone ahorow no bɛma wɔ abɔnten wɔ aduruyɛ mu.
- Hydrocortisone: Steroid aduru a wɔde si hormone cortisol ananmu.
- Fludrocortisone: Aduru a wɔde si hormone aldosterone ananmu.
Ɛsɛ sɛ wɔnom saa aduru yi da biara da, sɛnea oduruyɛfo no kyerɛ no pɛpɛɛpɛ.
Ade a ɛho hia sen biara ne sɛ worenhuruw nnuru dodow biako mpo so da. Dose biako mpo a wobɛpa no betumi ayɛ asiane.
Sɛ wowɔ ɔyare mmoawa, wowɔ atiridiinini, anaasɛ wɔreyɛ wo oprehyɛn a, wo duruyɛfo bɛma aduru yi dodow akɔ soro bere tiaa bi de asiw Addisonian ɔhaw ano.
Sɛ obi a ɔwɔ Addison yare no sa no yare yiye a, obetumi atra ase a ɛfata koraa na ɔwɔ apɔwmuden .
Nkrasɛm a Wɔde Kɔ Fie
- Addison yare no yɛ tebea a ɛma adrenal ntini no ntumi nyɛ hormone cortisol ne aldosterone a ɛdɔɔso.
- Nsɛnkyerɛnne titiriw ne ɔbrɛ a ɛba bere nyinaa, ne mu duru so tew, mogya mmoroso a ɛba fam, ne honam ani yɛ tuntum.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, mma wo ho nnpopo na kɔ oduruyɛfo nkyɛn ntɛm ara.
- Ɛwom sɛ eyi yɛ nkwa nna nyinaa tebea de, nanso wubetumi abɔ bra a ɛfata koraa denam nnuru a wobɛnom da biara da no so.
- Sɛ wowɔ Addison yare a, hyɛ kaad anaa abɔso a ɛkyerɛ wo tebea no bere nyinaa. Ebetumi agye nkwa wɔ tebea a egye ntɛmpɛ mu.
- Addisonian ahokyere yɛ tebea a egye ntɛmpɛ a ɛhwehwɛ sɛ wɔsa no ntɛm ara. Ɛho hia sɛ wuhu sɛnkyerɛnne ahorow no.
Addison Yare, hormone, adrenal glands, cortisol, aldosterone, ɔbrɛ a ɛba bere nyinaa, honam ani tuntum, adrenal glands, adrenal a entumi nyɛ adwuma yiye, mogya mmoroso a ɛba fam
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